ABSTRAK
Kondisi menderita penyakit fisik menimbulkan permasalahan psikososial ansietas dan gangguan citra tubuh. Permasalahan psikososial ini menjadi faktor comorbid yang menambah berat kondisi fisik klien. Pelaksanaan tindakan ners spesialis didasarkan pada perilaku dan adaptasi sebagai mahluk yang holistik yang meliputi: Cognitive Behavioral Therapy CBT , Thought Stopping TS , Progressive Muscle Relaxation PMR dengan mempertimbangkan toleransi fisik klien. Tindakan ners spesialis Family PsychoEducation FPE pada keluarga dan Supportive Theraphy ST pada kelompok pelaku rawat care giver diberikan untuk memperkuat dukungan dari luar klien demi mempertahankan kelangsungan proses perawatan klien. Hasil: Pelaksanaan tindakan ners spesialis menunjukkan penurunan tanda dan gejala pada klien di semua aspek respons terhadap stresor. Penurunan yang paling besar terjadi pada kombinasi terapi CBT PMR FPE yang dilakukan pada klien dengan diagnosis ansietas pada aspek afektif sebesar 79.2 dan klien dengan diagnosis gangguan citra tubuh pada aspek perilaku sebesar 86.3 . Kesimpulan: Tindakan ners spesialis Cognitive Behavioral Therapy CBT , Thought Stopping TS , Progressive Muscle Relaxation PMR dengan mempertimbangkan toleransi fisik klien dan Family PsychoEducation FPE pada keluarga serta Supportive Theraphy ST pada kelompok pelaku rawat care giver dapat membantu penurunan respons klien terhadap stressor.

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ABSTRACT
Physical ilness could contribute to psychosocial problems such as anxiety and disturbed body image. This psychosocial problems became a comorbid factor which could make the clients health problems more serious. The implementation Cognitive Behavioral Therapy CBT , Thought Stopping TS , Progressive Muscle Relaxation PMR holistically applied by taking into consideration the physical tolerance of clients. The provision of Family PsychoEducation FPE for patient rsquo s family and Supportive Theraphy ST for patient rsquo s care giver by mental health psychiatric nurse specialist could empower client continuity of care sustainability. Result The combination CBT PMR FPE nurse specialist implementation have decreased the sign and symptoms up to 79.2 of efective aspect for clients with anxiety, and 86.3 of behavioral aspect for client who has disturbed body image. Conclusion It was conclude that the implementation of Cognitive Behavioral Therapy CBT , Thought Stopping TS , Progressive Muscle Relaxation PMR by taking into consideration the client rsquo s physical tolerance and Family PsychoEducation FPE for client rsquo s family and Supportive Theraphy ST for client rsquo s care giver can decrease patient rsquo s responses to stressors.